Blue Cross Blue Shield of Oklahoma
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EFT / ERA Forms

Electronic Funds Transfer (EFT) Agreement  New version!

Electronic Remittance Advice (ERA) Enrollment Form  New version!

 

Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.  ® Registered Marks Blue Cross and Blue Shield Association.

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